| Fountain Hill Center | |
|
534 Fountain St Ne Grand Rapids MI 49503 | |
| (616) 456-1178 | |
| Not Available |
| Full Name | Fountain Hill Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 534 Fountain St Ne, Grand Rapids, Michigan |
| Authorized Official Name and Position | Amy Van Gunst (EXECUTIVE COORDINATOR) |
| Authorized Official Contact | 6164561178 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fountain Hill Center 534 Fountain St Ne Grand Rapids MI 49503 Ph: (616) 456-1178 | Fountain Hill Center 534 Fountain St Ne Grand Rapids MI 49503 Ph: (616) 456-1178 |
| NPI Number | 1124420245 |
|---|---|
| Provider Enumeration Date | 09/19/2014 |
| Last Update Date | 09/19/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124420245 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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